OrganizationActive
Adult & Pediatric Urology, LLC
NPI 1710190350 · Urology Physician · Farmington, NM
Provider details
- NPI number
- 1710190350
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Allen Mcculloch, Owner(505) 327-9111
- License
- 87115 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2300 E 30th St
Bldg B Suite 106
Farmington, NM 87401-8990
Phone: (505) 327-9111
Fax: (505) 327-2730
Street-level locationGet directions
Mailing address
2300 E 30th St
Farmington, NM 87401-8990
Registry dates
- Enumerated
- 2007-05-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.